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Why I Take a Consultative Approach to Healthcare

By |2023-01-27T21:45:00-05:00January 27th, 2023|Categories: Dr. Matt Lewis|Tags: |0 Comments

Depending on where you take your vehicle to have it serviced, you’ll deal with either a mechanic or a parts changer. A mechanic conducts a thorough evaluation before doing anything. Your mechanic asks you to describe what’s going on; drives the vehicle, taking note of any strange sounds, vibrations, or odors; visually inspects the vehicle; and runs diagnostics to check for any error codes.

A parts changer makes an educated guess as to what the problem is and then proceeds to change parts until the problem goes away. It can be a costly, time-consuming process that often fails to address the root cause of the problem.

Unfortunately, modern medicine is driven largely by a part-changer mentality. Many doctors spend only a few minutes talking at a patient and reviewing results from lab tests and even less time listening to the patient, coming up with a diagnosis, and generating a thoughtful plan of care. Instead, they jump right to treatments that often include prescription medications — many of which alleviate symptoms without addressing their root cause. Even worse, medications can cause adverse side effects, resulting in a symptom profile that grows longer and more complex with every visit.

In contrast, I take a consultative approach to treating and caring for my patients. This approach is more collaborative and relies far more on listening to my patients, enabling them to play a much more active role in their treatment outcomes.

Image for consultative healthcare

What Is a Consultative Approach?

A consultative approach requires a deep understanding and appreciation of your medical history, family history, lifestyle, life events, and current health conditions and concerns.

The process begins with you completing your functional medicine analysis form, which I review in preparation for your initial consultation, and refer to over the course of your recovery. Your functional medicine analysis is an inventory of your health history and presenting symptoms. In time, we should be checking off symptoms and seeing a trend towards better health and quality of life.

The consultative approach requires good listening in an environment that is not rushed, judgmental, or dismissive. I contrast this to a visit with a more conventional healthcare provider who works in an environment that rewards speed over thoroughness and the importance of building a collaborative doctor-patient relationship.

In this non-consultative scenario, it’s a quick conversation and lab review, followed immediately by knee jerk recommendations. I see this happening today in both conventional and holistic medicine as practitioners build models of medicine based on meeting the demands of insurance providers instead of improving patient outcomes.

Key benefits of a consultative approach to medicine include the following: Continue reading…

Addressing the Root Causes of Chronic Fatigue and Brain Fog

By |2023-01-09T16:45:04-05:00January 9th, 2023|Categories: Brain Fog, Chronic Fatigue Syndrome|Tags: , |1 Comment

Chronic fatigue is common, but it’s certainly not normal. It’s common, in that many people experience it on occasion. But a healthy body doesn’t naturally feel worn out — even when dealing with a fairly hectic lifestyle.

In fact, if you’re unsure about the underlying cause of your brain fog or fatigue, you shouldn’t be feeling that way. For example, if you’re working 12 hours a day and your baby or your neighbor’s dog is keeping you up all night, you have a clear reason to be fatigued.

However, if you’re eating healthy foods, remain physically active, get six to eight hours of sleep each night, and you still feel tired or unfocused during the day, something’s wrong. And you most likely have a medical condition that requires evaluation and treatment.

In this blog post, I discuss how to move away from brain fog and fatigue and toward increasing focus, energy, and vitality. You and your doctor need to take it seriously, acknowledge the problem, and work together to identify the root cause(s), with the end result being solutions intended to restore your energy and mental sharpness.

The take-home message here is this: Solutions exist. Stay focused and be persistent until you receive treatment that makes you feel your best.

Where Conventional Medicine Falls Short

If you have read any of my other blog posts, you already know what I think about the conventional medical approach to treating chronic health conditions, including thyroid disease, chronic fatigue, depression, menopause, high blood pressure, and diabetes. Conventional medicine focuses on diagnosing illness and treating its symptoms —typically with medication. It rarely identifies or addresses the root causes of these illnesses. These often include:

  • Poor nutrition
  • Too much, too little, or the wrong types of exercise
  • Exposure to environmental toxins
  • Poor sleep
  • Leaky gut
  • Other lifestyle and treatment options we have influence over

Imagine entering your doctor’s office and complaining of fatigue or brain fog. Your doctor orders some blood tests and tells you the results show no cause for concern. According to your doctor, you’re perfectly healthy.

Or, you go to see your doctor complaining of fatigue and brain fog, and you’re treated for high blood pressure or high cholesterol, neither resulting in a resolution to your fatigue issues. You have digestive issues, so you’re referred to a gastroenterologist who treats you for acid reflux or irritable bowel disease, but again your fatigue remains untreated. Why is this? Because none of the “solutions” were the Continue reading…